International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Bola¤os

First Name:

Irene

title_add:

Dr.

Phone #:

88490994

Hospital / Institution / Company:

Caja Costarricense del Seguro Social

Classification:

Surgeon

Position:

Assistant

Address:

e-Mail:

ire296@yahoo.com

Street and House Number:

Boulevard de Rohrmoser

City:

San Jose

Zip Code:

4100

State:

San Jose

Country:

Costa Rica

Membership benefits:

Site Information:

program for the treatment:

program set up:

currently taken care:

approximate number:

normally referred:

Have no surgery option in my country yet

you have plans:

Yes, i want to start a program this year